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Motivational Interviewing
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What are the stages of change?
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Pre-contemplation:
Definition:
Goal:
Very little intention to change
Develop rapport not resistance
Explore concerns
Invite back
Validate
(Resist the "righting reflex", don't tell patients what to do...they'll let you know when they're ready)
Contemplation:
Definition:
Goal:
Ambivalence, thinking about it a little bit
Validate their ambivalence
Reinforce reasons to change
Encourage exploring
Autonomy
Invite back
Preparation:
Definition:
Goal:
Ready to change
Praise
Problem solve
Plan
Barriers
Social Support
Autonomy
Action:
Definition:
Goal:
Implement new behaviors - empower the person
Support
Acknowledge difficulties
Plan for high-risk situation
Education
Maintenance:
Definition:
Goal:
Relapse prevention
Review benefits
Praise!!
Find any triggers or difficulties
Recognition
(There are less times of temptation and maintain contact)
Relapse:
Definition:
Goal:
Person resumes negative behavior
Assess stage of change
Assess trigger to relapse
New interventions
Client centered means to give the patient back the ________
Control or autonomy)
Client centered means to give the patient back the ________
Control (or autonomy)
The principles of motivational interviewing are:
Empathy:
Discrepancies:
Roll with resistance:
Self-efficacy:
Listening/reflecting back to them
Resist "right reflex"
Understand client's motivations
Adapt to what they say
Tell patient they can change
Point out small steps they have done
Asking permission builds _______
Rapport
Asking the patient about a typical day allows the nurse to point out the __________ to help guide the patient.
Triggers/Discrepancies
Author
wiscflor
ID
7490
Card Set
Motivational Interviewing
Description
MI Psych
Updated
2010-02-21T00:15:35Z
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